#SFHH2609011AOrder of 31 March 2026 setting the list of health establishments starting individual billing of hospital care services to mandatory health insurance funds, and the billing scope for each establishment
AI-generated summary for informational purposes only. Not legal advice. See the original source for the authoritative text.
This French order, dated 31 March 2026, lists 13 specific health establishments that will begin individual (fee-for-service) billing for their "Soins de Suite et de Réadaptation" (SSR - post-acute care and rehabilitation) outpatient activities starting 1 April 2026. The listed facilities include various mutualist, public, and specialized rehabilitation centers across multiple French departments. From 1 April 2026, external acts and consultations under Article L. 162-26 of the Social Security Code, including technical imaging packages, must be billed individually to health insurance funds instead of using the previous lump-sum valuation system. Private practice activities by full-time hospital practitioners are explicitly excluded from this individual billing requirement.
AI-generated summary. May contain errors. Refer to official sources for legal decisions.
Key Changes
- Effective date: individual billing for listed SSR facilities begins on 1 April 2026
- 13 specific health establishments (identified by FINESS numbers) switch from lump-sum to individual billing for outpatient acts
- Scope includes acts and external consultations under Article L. 162-26, plus technical imaging packages
+ 3 more changes with Pro
Obligations
What this law requires
Switch from lump-sum valuation to individual (fee-for-service) billing for external acts and consultations under Article L. 162-26 of the Social Security Code for SSR activities, effective 1 April 2026
Include technical imaging packages in individual billing scope when billing external acts and consultations to mandatory health insurance funds from 1 April 2026
Exclude private practice activities by full-time hospital practitioners from individual billing requirements
Bill individual acts and consultations to the correct mandatory health insurance fund specified for each establishment's geographic location (CPAM or MSA)
Implement individual billing system for all SSR outpatient external acts and consultations performed on or after 1 April 2026